Skip to main content
Top
Published in: BMC Public Health 1/2014

Open Access 01-12-2014 | Research article

Chlamydia trachomatisinfection among female inmates at Briman prison in Saudi Arabia

Authors: Wafa Fageeh, Sami Badawood, Hanin Al Thagafi, Muhammad Yasir, Esam Azhar, Suha Farraj, Mona Alomary, Moneerah Alsaeed, Soonham Yaghmoor, Taha Kumosani

Published in: BMC Public Health | Issue 1/2014

Login to get access

Abstract

Background

Chlamydia trachomatis infection is the most common sexually transmitted infection (STI) in the western countries; its prevalence in the conservative Muslim population of Saudi Arabia is not known, but it is generally believed to be low. This study is the first to investigate the prevalence of and risk factors for C. trachomatis infection in the high-risk group of female inmates at Briman Prison in Jeddah.

Methods

The inmates were interviewed using a pre-designed questionnaire, and their urine samples were tested for C. trachomatis infection by real-time PCR assay.

Results

The overall prevalence of C. trachomatis infection was 8.7% in the study population. The ≤25 age group was predominantly affected, with an average prevalence of 16.6%. Two out of five (2/5, 40%) Yamani, (4/33 12.1%) Indonesian, (3/33, 9.1%) Somalian and (2/26, 7.7%) Ethiopian inmates were positive for infection. None of the Saudi inmates (0/14) were positive for infection. Among the studied variables, only age was significantly associated with the infection rate. The other variables (marital status, nationality, religion, employment status, education level, nature of the offense committed, knowledge about protection from STIs, and knowledge about condom use and the purpose of condom use) did not show a significant correlation with Chlamydia infection.

Conclusions

The overall prevalence of C. trachomatis infection was within the range published by other reports in similar prison settings in developed countries. The results indicate the need for a countrywide screening and treatment program for all inmates at the time of entry into prison.
Literature
1.
go back to reference CDC: Sexually Transmitted Disease Surveillance. 2008, Atlanta, GA: US Department of Health and Human Services CDC: Sexually Transmitted Disease Surveillance. 2008, Atlanta, GA: US Department of Health and Human Services
2.
go back to reference Datta SD, Torrone E, Kruszon-Moran D, Berman S, Johnson R, Satterwhite CL, Papp J, Weinstock H: Chlamydia trachomatis trends in the United States among persons 14 to 39 years of age, 1999–2008. Sex Transm Dis. 2012, 39: 92-96. 10.1097/OLQ.0b013e31823e2ff7.CrossRefPubMed Datta SD, Torrone E, Kruszon-Moran D, Berman S, Johnson R, Satterwhite CL, Papp J, Weinstock H: Chlamydia trachomatis trends in the United States among persons 14 to 39 years of age, 1999–2008. Sex Transm Dis. 2012, 39: 92-96. 10.1097/OLQ.0b013e31823e2ff7.CrossRefPubMed
3.
go back to reference Porras C, Safaeian M, Gonzalez P, Hildesheim A, Silva S, Schiffman M, Rodriguez AC, Wacholder S, Freer E, Quint K, Bratti C, Espinoza A, Cortes B, Herrero R: Epidemiology of genital Chlamydia trachomatis infection among young women in Costa Rica. Sex Transm Dis. 2008, 35: 461-468. 10.1097/OLQ.0b013e3181644b4c.CrossRefPubMed Porras C, Safaeian M, Gonzalez P, Hildesheim A, Silva S, Schiffman M, Rodriguez AC, Wacholder S, Freer E, Quint K, Bratti C, Espinoza A, Cortes B, Herrero R: Epidemiology of genital Chlamydia trachomatis infection among young women in Costa Rica. Sex Transm Dis. 2008, 35: 461-468. 10.1097/OLQ.0b013e3181644b4c.CrossRefPubMed
4.
go back to reference Steiner AS, Haller D, Elger BS, Sebo P, Gaspoz JM, Wolff H: Chlamydia trachomatis infection in a Swiss prison: a cross sectional study. Swiss Med Wkly. 2010, 140: w13126-PubMed Steiner AS, Haller D, Elger BS, Sebo P, Gaspoz JM, Wolff H: Chlamydia trachomatis infection in a Swiss prison: a cross sectional study. Swiss Med Wkly. 2010, 140: w13126-PubMed
5.
go back to reference Bender N, Herrmann B, Andersen B, Hocking JS, van Bergen J, Morgan J, van den Broek IV, Zwahlen M, Low N: Chlamydia infection, pelvic inflammatory disease, ectopic pregnancy and infertility: cross-national study. Sex Transm Infect. 2011, 87: 601-608. 10.1136/sextrans-2011-050205.CrossRefPubMed Bender N, Herrmann B, Andersen B, Hocking JS, van Bergen J, Morgan J, van den Broek IV, Zwahlen M, Low N: Chlamydia infection, pelvic inflammatory disease, ectopic pregnancy and infertility: cross-national study. Sex Transm Infect. 2011, 87: 601-608. 10.1136/sextrans-2011-050205.CrossRefPubMed
7.
go back to reference Markowska J, Fischer N, Markowski M, Nalewaj J: The role of Chlamydia trachomatis infection in the development of cervical neoplasia and carcinoma. Med Wieku Rozwoj. 2005, 9: 83-86.PubMed Markowska J, Fischer N, Markowski M, Nalewaj J: The role of Chlamydia trachomatis infection in the development of cervical neoplasia and carcinoma. Med Wieku Rozwoj. 2005, 9: 83-86.PubMed
8.
go back to reference Cecil JA, Howell MR, Tawes JJ, Gaydos JC, McKee KT, Quinn TC, Gaydos CA: Features of Chlamydia trachomatis and Neisseria gonorrhoeae infection in male Army recruits. J Infect Dis. 2001, 184: 1216-1219. 10.1086/323662.CrossRefPubMed Cecil JA, Howell MR, Tawes JJ, Gaydos JC, McKee KT, Quinn TC, Gaydos CA: Features of Chlamydia trachomatis and Neisseria gonorrhoeae infection in male Army recruits. J Infect Dis. 2001, 184: 1216-1219. 10.1086/323662.CrossRefPubMed
9.
go back to reference LaMontagne DS, Fenton KA, Randall S, Anderson S, Carter P: Establishing the National Chlamydia Screening Programme in England: results from the first full year of screening. Sex Transm Infect. 2004, 80: 335-341. 10.1136/sti.2004.012856.CrossRefPubMedPubMedCentral LaMontagne DS, Fenton KA, Randall S, Anderson S, Carter P: Establishing the National Chlamydia Screening Programme in England: results from the first full year of screening. Sex Transm Infect. 2004, 80: 335-341. 10.1136/sti.2004.012856.CrossRefPubMedPubMedCentral
10.
go back to reference Gollub EL, Armstrong K, Boney T, Mercer D, Chhatre S, Fiore D, Lavalanet A, Mackey K: Correlates of trichomonas prevalence among street-recruited, drug-using women enrolled in a randomized trial. Subst Use Misuse. 2010, 45: 2203-2220. 10.3109/10826084.2010.484710.CrossRefPubMed Gollub EL, Armstrong K, Boney T, Mercer D, Chhatre S, Fiore D, Lavalanet A, Mackey K: Correlates of trichomonas prevalence among street-recruited, drug-using women enrolled in a randomized trial. Subst Use Misuse. 2010, 45: 2203-2220. 10.3109/10826084.2010.484710.CrossRefPubMed
11.
go back to reference Freudenberg N, Moseley J, Labriola M, Daniels J, Murrill C: Comparison of health and social characteristics of people leaving New York City jails by age, gender, and race/ethnicity: implications for public health interventions. Public Health Rep. 2007, 122: 733-743.PubMedPubMedCentral Freudenberg N, Moseley J, Labriola M, Daniels J, Murrill C: Comparison of health and social characteristics of people leaving New York City jails by age, gender, and race/ethnicity: implications for public health interventions. Public Health Rep. 2007, 122: 733-743.PubMedPubMedCentral
12.
go back to reference Warner L, Stone KM, Macaluso M, Buehler JW, Austin HD: Condom use and risk of gonorrhea and Chlamydia: a systematic review of design and measurement factors assessed in epidemiologic studies. Sex Transm Dis. 2006, 33 (1): 36-51. 10.1097/01.olq.0000187908.42622.fd.CrossRefPubMed Warner L, Stone KM, Macaluso M, Buehler JW, Austin HD: Condom use and risk of gonorrhea and Chlamydia: a systematic review of design and measurement factors assessed in epidemiologic studies. Sex Transm Dis. 2006, 33 (1): 36-51. 10.1097/01.olq.0000187908.42622.fd.CrossRefPubMed
13.
go back to reference Fickenscher A, Lapidus J, Silk-Walker P, Becker T: Women behind bars: health needs of inmates in a county jail. Public Health Rep. 2001, 116 (3): 191-196. 10.1016/S0033-3549(04)50033-X.CrossRefPubMedPubMedCentral Fickenscher A, Lapidus J, Silk-Walker P, Becker T: Women behind bars: health needs of inmates in a county jail. Public Health Rep. 2001, 116 (3): 191-196. 10.1016/S0033-3549(04)50033-X.CrossRefPubMedPubMedCentral
14.
go back to reference Tsunoe H, Tanaka M, Nakayama H, Sano M, Nakamura G, Shin T, Kanayama A, Kobayashi I, Mochida O, Kumazawa J, Naito S: High prevalence of Chlamydia trachomatis, Neisseria gonorrhoeae and Mycoplasma genitalium in female commercial sex workers in Japan. Int J STD AIDS. 2000, 11 (12): 790-794. 10.1258/0956462001915291.CrossRefPubMed Tsunoe H, Tanaka M, Nakayama H, Sano M, Nakamura G, Shin T, Kanayama A, Kobayashi I, Mochida O, Kumazawa J, Naito S: High prevalence of Chlamydia trachomatis, Neisseria gonorrhoeae and Mycoplasma genitalium in female commercial sex workers in Japan. Int J STD AIDS. 2000, 11 (12): 790-794. 10.1258/0956462001915291.CrossRefPubMed
15.
go back to reference Shafir SC, Sorvillo FJ, Smith L: Current issues and considerations regarding trichomoniasis and human immunodeficiency virus in African-Americans. Clin Microbiol Rev. 2009, 22: 37-45. 10.1128/CMR.00002-08. Table of ContentsCrossRefPubMedPubMedCentral Shafir SC, Sorvillo FJ, Smith L: Current issues and considerations regarding trichomoniasis and human immunodeficiency virus in African-Americans. Clin Microbiol Rev. 2009, 22: 37-45. 10.1128/CMR.00002-08. Table of ContentsCrossRefPubMedPubMedCentral
16.
go back to reference Venkatesh KK, van der Straten A, Mayer KH, Blanchard K, Ramjee G, Lurie MN, Chipato T, Padian NS, de Bruyn G: African women recently infected with HIV-1 and HSV-2 have increased risk of acquiring Neisseria gonorrhoeae and Chlamydia trachomatis in the Methods for Improving Reproductive Health in Africa trial. Sex Transm Dis. 2011, 38 (6): 562-570.PubMed Venkatesh KK, van der Straten A, Mayer KH, Blanchard K, Ramjee G, Lurie MN, Chipato T, Padian NS, de Bruyn G: African women recently infected with HIV-1 and HSV-2 have increased risk of acquiring Neisseria gonorrhoeae and Chlamydia trachomatis in the Methods for Improving Reproductive Health in Africa trial. Sex Transm Dis. 2011, 38 (6): 562-570.PubMed
17.
go back to reference Mertz KJ, Voigt RA, Hutchins K, Levine WC: Findings from STD screening of adolescents and adults entering corrections facilities: implications for STD control strategies. Sex Transm Dis. 2002, 29: 834-839. 10.1097/00007435-200212000-00016.CrossRefPubMed Mertz KJ, Voigt RA, Hutchins K, Levine WC: Findings from STD screening of adolescents and adults entering corrections facilities: implications for STD control strategies. Sex Transm Dis. 2002, 29: 834-839. 10.1097/00007435-200212000-00016.CrossRefPubMed
18.
go back to reference Alzahrani AJ, Obeid OE, Hassan MI, Almulhim AA: Screening of pregnant women attending the antenatal care clinic of a tertiary hospital in eastern Saudi Arabia for Chlamydia trachomatis and Neisseria gonorrhoeae infections. Indian J Sex Transm Dis. 2011, 31 (2): 81-86. Alzahrani AJ, Obeid OE, Hassan MI, Almulhim AA: Screening of pregnant women attending the antenatal care clinic of a tertiary hospital in eastern Saudi Arabia for Chlamydia trachomatis and Neisseria gonorrhoeae infections. Indian J Sex Transm Dis. 2011, 31 (2): 81-86.
19.
go back to reference Bashi SA: Chlamydial genital infection. Saudi Med J. 1986, 7: 484- Bashi SA: Chlamydial genital infection. Saudi Med J. 1986, 7: 484-
20.
go back to reference Perkins CA, Stephan JJ, Beck AJ: Jails and Jail Inmates 1993–94: Census of Jails and Survey of Jails (NCJ Bulletin No. 151651). 1995, Washington, DC: US Department of Justice, Bureau of Justice Statistics Perkins CA, Stephan JJ, Beck AJ: Jails and Jail Inmates 1993–94: Census of Jails and Survey of Jails (NCJ Bulletin No. 151651). 1995, Washington, DC: US Department of Justice, Bureau of Justice Statistics
21.
go back to reference Fageeh WM: Awareness of sexually transmitted diseases among adolescents in Saudi Arabia. JKAU Med Sci. 2008, 15: 77-90.CrossRef Fageeh WM: Awareness of sexually transmitted diseases among adolescents in Saudi Arabia. JKAU Med Sci. 2008, 15: 77-90.CrossRef
22.
go back to reference Jaton K, Bille J, Greub G: A novel real-time PCR to detect Chlamydia trachomatis in first-void urine or genital swabs. J Med Microbiol. 2006, 55: 1667-1674. 10.1099/jmm.0.46675-0.CrossRefPubMed Jaton K, Bille J, Greub G: A novel real-time PCR to detect Chlamydia trachomatis in first-void urine or genital swabs. J Med Microbiol. 2006, 55: 1667-1674. 10.1099/jmm.0.46675-0.CrossRefPubMed
24.
go back to reference Mertz KJ, Schwebke JR, Gaydos CA, Beidinger HA, Tulloch SD, Levine WC: Screening women in jails for chlamydial and gonococcal infection using urine tests: feasibility, acceptability, prevalence, and treatment rates. Sex Transm Dis. 2002, 29 (5): 271-276. 10.1097/00007435-200205000-00004.CrossRefPubMed Mertz KJ, Schwebke JR, Gaydos CA, Beidinger HA, Tulloch SD, Levine WC: Screening women in jails for chlamydial and gonococcal infection using urine tests: feasibility, acceptability, prevalence, and treatment rates. Sex Transm Dis. 2002, 29 (5): 271-276. 10.1097/00007435-200205000-00004.CrossRefPubMed
26.
go back to reference Robertson AA, Thomas CB, St Lawrence JS, Pack R: Predictors of infection with Chlamydia or gonorrhea in incarcerated adolescents. Sex Transm Dis. 2005, 32: 115-122. 10.1097/01.olq.0000151419.11934.1b.CrossRefPubMed Robertson AA, Thomas CB, St Lawrence JS, Pack R: Predictors of infection with Chlamydia or gonorrhea in incarcerated adolescents. Sex Transm Dis. 2005, 32: 115-122. 10.1097/01.olq.0000151419.11934.1b.CrossRefPubMed
27.
go back to reference Kraut-Becher JR, Gift TL, Haddix AC, Irwin KL, Greifinger RB: Cost-effectiveness of universal screening for chlamydia and gonorrhea in US jails. J Urban Health. 2004, 81: 453-471. 10.1093/jurban/jth130.CrossRefPubMedPubMedCentral Kraut-Becher JR, Gift TL, Haddix AC, Irwin KL, Greifinger RB: Cost-effectiveness of universal screening for chlamydia and gonorrhea in US jails. J Urban Health. 2004, 81: 453-471. 10.1093/jurban/jth130.CrossRefPubMedPubMedCentral
28.
go back to reference Barry PM, Kent CK, Scott KC, Goldenson J, Klausner JD: Is jail screening associated with a decrease in Chlamydia positivity among females seeking health services at community clinics?-San francisco, 1997–2004. Sex Transm Dis. 2009, 36: S22-S28. 10.1097/OLQ.0b013e31815ed7c8.CrossRefPubMed Barry PM, Kent CK, Scott KC, Goldenson J, Klausner JD: Is jail screening associated with a decrease in Chlamydia positivity among females seeking health services at community clinics?-San francisco, 1997–2004. Sex Transm Dis. 2009, 36: S22-S28. 10.1097/OLQ.0b013e31815ed7c8.CrossRefPubMed
29.
go back to reference Joesoef MR, Weinstock HS, Kent CK, Chow JM, Boudov MR, Parvez FM, Cox T, Lincoln T, Miller JL, Sternberg M: Sex and age correlates of Chlamydia prevalence in adolescents and adults entering correctional facilities, 2005: implications for screening policy. Sex Transm Dis. 2009, 36 (2 Suppl): S67-S71.CrossRefPubMed Joesoef MR, Weinstock HS, Kent CK, Chow JM, Boudov MR, Parvez FM, Cox T, Lincoln T, Miller JL, Sternberg M: Sex and age correlates of Chlamydia prevalence in adolescents and adults entering correctional facilities, 2005: implications for screening policy. Sex Transm Dis. 2009, 36 (2 Suppl): S67-S71.CrossRefPubMed
30.
go back to reference Willers DM, Peipert JF, Allsworth JE, Stein MD, Rose JS, Clarke JG: Prevalence and predictors of sexually transmitted infection among newly incarcerated females. Sex Transm Dis. 2008, 35: 68-72. 10.1097/OLQ.0b013e318154bdb2.CrossRefPubMed Willers DM, Peipert JF, Allsworth JE, Stein MD, Rose JS, Clarke JG: Prevalence and predictors of sexually transmitted infection among newly incarcerated females. Sex Transm Dis. 2008, 35: 68-72. 10.1097/OLQ.0b013e318154bdb2.CrossRefPubMed
31.
go back to reference Robertson A, Levin ML: AIDS knowledge, condom attitudes, and risk-taking sexual behavior of substance-abusing juvenile offenders on probation or parole. AIDS Educ Prev. 1999, 11 (5): 450-461.PubMed Robertson A, Levin ML: AIDS knowledge, condom attitudes, and risk-taking sexual behavior of substance-abusing juvenile offenders on probation or parole. AIDS Educ Prev. 1999, 11 (5): 450-461.PubMed
32.
go back to reference Hebert MR, Clarke JG, Caviness CM, Ray MK, Friedmann PD, Stein MD: Feasibility of gaining access to women in jail for health interventions. Women Health. 2008, 47: 79-93. 10.1080/03630240802134159.CrossRefPubMed Hebert MR, Clarke JG, Caviness CM, Ray MK, Friedmann PD, Stein MD: Feasibility of gaining access to women in jail for health interventions. Women Health. 2008, 47: 79-93. 10.1080/03630240802134159.CrossRefPubMed
Metadata
Title
Chlamydia trachomatisinfection among female inmates at Briman prison in Saudi Arabia
Authors
Wafa Fageeh
Sami Badawood
Hanin Al Thagafi
Muhammad Yasir
Esam Azhar
Suha Farraj
Mona Alomary
Moneerah Alsaeed
Soonham Yaghmoor
Taha Kumosani
Publication date
01-12-2014
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2014
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-14-267

Other articles of this Issue 1/2014

BMC Public Health 1/2014 Go to the issue